ACTIVE SC ONE, INC. (NPI# 1982744272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982744272 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC ONE, INC. |
| Other Organization Name | PEE DEE ACTIVE DAY CENTER |
| Practice Address |
2120 Enterprise Dr Florence SC 29501-1104 |
| Mailing Address |
6 Neshaminy Interplex Dr Suite 401 Trevose PA 19053-6964 |
| Practice Telephone | 8436651919 |
| Practice Fax Number | 8436657237 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | DEBORA HOCKENBURY (CONTRACTS MANAGER) |
| Authorized Official Telephone | 2156426600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE DAY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | SC | Respite Care Facility | |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX0431 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Pee Dee | Doing Business As Name - Organization |
| Pee Dee Active Day Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801936232 | Active Sc One, Inc. | Respite Care | 228 N Creek Blvd, Greenwood, SC 29649-9006 | 2007-02-07 |
| 1619017027 | Active Sc One, Inc. | Clinic/Center | 3880 Houndsfield Ave, Myrtle Beach, SC 29577-5792 | 2007-02-07 |
| 1073086377 | Active Sc One, Inc. | Respite Care | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2019-01-09 |
| 1336696731 | Active Sc One, Inc. | Clinic/Center | 230 Giles Dr, Boiling Springs, SC 29316-6036 | 2016-09-02 |
| 1265571418 | Active Sc One, Inc. | Clinic/Center | 1954 Ashley River Rd, Charleston, SC 29407-4904 | 2007-02-05 |
| 1932286333 | Active Sc One, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| Street Address |
2120 ENTERPRISE DR |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902057433 | Active Day Inc. | Nursing Facility/Intermediate Care Facility | 2120 Enterprise Dr, Florence, SC 29501-1104 | 2008-10-02 |
| 1467603993 | Active Day Incorp | Nursing Facility/Intermediate Care Facility | 2120 Enterprise Dr, Florence, SC 29501-1104 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608045 | Daily Living Adc of Florence LLC | Clinic/Center | 500 Pamplico Hwy Ste F, Florence, SC 29505-6051 | 2020-04-17 |
| 1245415645 | Emmanuel Ridge Community Service Organization | Clinic/Center | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1508148602 | Community Services of Northern Kentucky | Clinic/Center | 31 Spiral Dr, Florence, KY 41042-1351 | 2011-09-14 |
| 1063703676 | Community Services of Northern Kentucky | Clinic/Center | 31 Spiral Dr, Florence, KY 41042-1351 | 2011-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998557 | Om Hari LLC | Clinic/Center | 100 Business Pkwy # A-c, Piedmont, SC 29673-6707 | 2020-06-26 |
| 1609490101 | Circle of Life Adult Daycare | Clinic/Center | 159 Commons Way, Greenville, SC 29611-3850 | 2020-06-01 |
| 1881229649 | Aijan Gracefully LLC | Clinic/Center | 812 Hellams St, Fountain Inn, SC 29644-9445 | 2020-03-11 |
| 1750928511 | Marilyn Harper | Clinic/Center | 156 Hillock Ct, Orangeburg, SC 29115-9182 | 2019-11-28 |
| 1740821537 | The Blake Adult Day Care LLC | Clinic/Center | 832 Main St S, Allendale, SC 29810-4202 | 2019-10-02 |
| 1467004705 | Good Samaritan Adult Day Care | Clinic/Center | 473 Kindale Park Rd, Kingstree, SC 29556-5182 | 2019-07-16 |
| 1174085948 | Simmons Adult Day Care, LLC | Clinic/Center | 2175 Johnsville Road, Smoaks, SC 29481-2948 | 2019-04-02 |
| 1275099178 | Flint Hill Community Adult Day Care | Clinic/Center | 371 Lige St, Rock Hill, SC 29730-5634 | 2019-02-15 |
| 1962970012 | Daily Living Adc LLC | Clinic/Center | 1307 N Longstreet St, Kingstree, SC 29556-2739 | 2018-11-07 |
| 1639658511 | Palmetto Oaks Adult Day Health Center | Clinic/Center | 6074 Saint Andrews Rd, Columbia, SC 29212-3120 | 2018-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.